For an entire week, John spent time in the operating rooms, wards, and dissection rooms of the Vienna General Hospital.

In the operating room, it is natural to do two appendectomy by hand, so that the surgeons at the Vienna General Hospital can see the most standardized and standard operation, so that they can perfectly combine the things on the information with the reality. In the ward, John showed more post-appendectomy care, and while the various procedures and practices were eye-opening to the surgeons, many of them were also secretly unimpressed, in their opinion, Heinz sterilization regulations were too cumbersome and strict compared to the current disinfection technology in Europe.

As for the work in the dissection room, it is naturally the autopsy.

The basis of surgery is human anatomy, which is already the consensus reached by surgeons, and in the 19th century, the development of anatomy in the West has reached a considerable high level, but compared with John who traveled through later generations, there is undoubtedly a big gap. So although not a full-time professor of anatomy, John's understanding of digestive organs such as the human stomach, duodenum, and jejunum was no less than that of Bierrot.

The two surgeons began their research in the dissection room of the Vienna General Hospital, centering around several "fresh" corpses.

This was not easy for John.

You know, surgeons in the 21st century rarely dissect cadaverics, and even when they were in college, they didn't have too many opportunities to actually get their hands dirty, so they basically practiced directly on patients after work until the technology became more and more mature. But in the 19th century, a great surgeon was necessarily a great anatomist, and some surgeons had to dissect thousands of corpses in their lifetime!

So while John has the upper hand in theory, in practice. Bierrot is even more powerful.

One has theory, the other has practice, and the two surgeons with different knowledge systems for more than 100 years got together, and soon there was a wonderful chemical reaction in the field of gastric cancer surgery......

Bi-style gastric cancer surgery has opened a glorious page in the history of surgery.

The digestive organ of the human body can be seen as a long pipe, and the opening on it is the human mouth. Next is the pharynx, esophagus, stomach, small intestine and large intestine, and specific to the small intestine, it can be divided into duodenum, jejunum, ileum, and the large intestine can be divided into cecum, appendix, colon, rectum and anal canal, and the last exit is what people jokingly call chrysanthemum. Although most of them are mumping and stuffed into the abdominal cavity, it is actually a pipe from top to bottom.

The so-called bi-type surgery is to remove part of the stomach and then suture the upper and lower incisions together.

To put it in layman's terms, bibliotherapy is like a network cable. If any part of the network cable is broken, then simply cut it off, and then connect the good parts on both sides again, so that the network can be connected. The principle of Bi surgery is this, remove a part of the stomach and connect it to the duodenum, which is Bi 1, if it is connected to the jejunum. This is Bi 2, and Bierrot relies on these two techniques that have been used by later generations for more than a hundred years. He became one of the greatest surgeons in Austrian history.

Of course, the techniques used by later generations have been improved countless times.

In order to carry out these two surgeries, Bierrot has made great efforts, starting to perform the relevant pathological dissection ten years ago, and sending people to learn Liszt's disinfection techniques and carry out animal realization. Finally, in 1881, the first Bi-1 operation was performed, and then the first Bi-2 operation was completed last year.

Of course, the results of these surgeries performed by Bierrot are not very good, and most patients do not last long.

This was the fate of most surgeons in the 19th century, who were probably able to invent techniques or procedures that would have taken surgery a step forward. For example, Liszt's surgical sterilization technology, and then the historical appendectomy, but it is limited to the times and technology, and the impact of these techniques and surgical methods on surgery must be looked at later. In other words, this is a typical example of the predecessors planting trees and the later people enjoying the shade. Only when all the technologies in the field of surgery are mature and make up for the shortcomings will their influence be expanded to the extreme.

So for Mr. Bierrot, the impact of these few days in the dissection room is really unimaginable!

Anatomy, physiology, pathological anatomy and surgical techniques, the basic knowledge required for Bierrot surgery, entered Bierrot's ears casually and inadvertently, making him instantly realize that the operation he invented had so many problems, and some concepts that John seemed to inadvertently put forward, such as biliary and intestinal Roux-en-y anastomosis, etc., were like pushing open a door, so that Bierrot's whole person was in a state of extreme excitement......

……

“…… Mr. Huntelaar, how about we discuss what you call the problem of biliary anastomosis? ”

In the dissection room of the Vienna General Hospital, Professor Bierrot, wearing a large leather apron, said with great interest.

"Uh......"

Looking at Bierrot's dress, and then looking at the sky that had gradually darkened outside, John secretly smiled bitterly at Yisheng, and said with a smile on his face: "Professor, it's not early, the two of us haven't even eaten lunch, and our stomachs are already growling......"

It's a bit of a contradiction to talk about eating in the dissection room, but it's naturally nothing to the two surgeons. It's just that John is very disgusted with Bierrot's outfit - instead of the white coat he is familiar with, he has a leather apron, which looks like a butcher no matter how he looks!

"When?"

After hearing this word, Bierrot was stunned, and quickly took out his pocket watch to look at it, only to find that it was almost seven o'clock.

Caught up in the heated arguments and discussions with John, when he found that the problems that he usually couldn't figure out suddenly became clear, and the outline of the whole operation became more and more complete, Bierrot had forgotten about time, and even forgot about hunger!

For others, it's hard to understand Bierrot's sense of satisfaction and urgency.

His exploration of gastric surgery has always been moving forward in the dark, and although there have been breakthroughs in heavy dà, there are still too many problems he faces. For example, the patient's physical condition, lymph node dissection, bile reflux, postoperative recurrence...... Now with John's joining, Bierrot inadvertently found that these problems have a tendency to be solved one by one!

This discovery surprised Bierrot and made him more and more eager.

According to the original plan of the two, Johan would only stay in Vienna for a maximum of three weeks, of which another week would be free to play, but in Bierrot's opinion, how could two weeks be? If possible, he even hoped that John would be able to stay in the hospital for a month!

Of course, he also knew that it was impossible.

So now every day Bierrot doesn't do anything else, just pulling John to soak in the dissection room, dissecting the corpse while discussing, or doing the corresponding animal reality, trying to squeeze John's so-called "inspiration" clean in the shortest possible time, and John, who originally planned to take this opportunity to help Bierrot, naturally knows everything, as long as it is in line with the medical level of this era, or something slightly ahead of his time, he leaks it to Bierrot without reservation. Anyway, there were so many things in his head that he really didn't mind giving some to the surgeon he had always respected......

"Tsk, it's so late......"

After realizing that it was too late, Bierrot clicked his lips regretfully and said, "Mr. Huntelaar, how about having dinner together today?" As for the rest of the work...... We'll get back tomorrow! ”

After hearing Bierrot's words, John couldn't help but roll his eyes and smile bitterly: "There's no need for dinner, I've already made an appointment with someone else...... Professor, tomorrow is the weekend, and I don't plan to stay in the hospital any longer. It's hard to come to Vienna once, and you're going to give me some time to get out and about, right? ”

"Huh?"

Hearing this, Bierrot couldn't help but scratch his head secretly. In the eyes of a dedicated professor of surgery, playing or something is a pure waste of time, and what is more enjoyable than two people discussing problems in the dissection room? However, he also knew that although a young man like John was amazingly talented, he couldn't avoid the young man's jumping heart, so he didn't say much, nodded and smiled: "Yes, it's good to take a break...... Mr. Huntelaar, do you need me to find a tour guide for you? Vienna is a fascinating city, and you need a guide who knows it well. ”

"Thank you for your kindness, but don't need to."

Slightly bowed, John laughed and said, "I prefer to see and listen with my own eyes and ears, and I already have a guide who may not be so good, but it is very suitable for my guide......" (To be continued......